The ‘Big Five’. Hypothesis generation: a multidisciplinary intervention package reduces disease-specific hospitalisations from long-term care: a post hoc analysis of the ARCHUS cluster-randomised controlled trial | Zendy

Martin J. Connolly | Zendy; Joanna Broad | Zendy; Michal Boyd | Zendy; Tony Xian Zhang | Zendy; Ngaire Kerse | Zendy; Susan Foster | Zendy; Thomas Lumley | Zendy; Noeline Whitehead | Zendy

Open Access

The ‘Big Five’. Hypothesis generation: a multidisciplinary intervention package reduces disease-specific hospitalisations from long-term care: a post hoc analysis of the ARCHUS cluster-randomised controlled trial

Author(s) -

Martin J. Connolly,

Joanna Broad,

Michal Boyd,

Tony Xian Zhang,

Ngaire Kerse,

Susan Foster,

Thomas Lumley,

Noeline Whitehead

Publication year - 2016

Publication title -

age and ageing

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 2.014

H-Index - 143

eISSN - 1468-2834

pISSN - 0002-0729

DOI - 10.1093/ageing/afw037

Subject(s) - medicine , post hoc analysis , cluster randomised controlled trial , term (time) , multidisciplinary approach , intervention (counseling) , randomized controlled trial , cluster (spacecraft) , post hoc , physical therapy , disease , intensive care medicine , pediatrics , psychiatry , computer science , programming language , social science , physics , quantum mechanics , sociology

long-term care (LTC) residents have higher hospitalisation rates than non-LTC residents. Rapid decline may follow hospitalisations, hence the importance of preventing unnecessary hospitalisations. Literature describes diagnosis-specific interventions (for cardiac failure, ischaemic heart disease, chronic obstructive pulmonary disease, stroke, pneumonia-termed 'big five' diagnoses), impacting on hospitalisations of older community-dwellers, but few RCTs show reductions in acute admissions from LTC.

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